Individual
CHARLES RAFAEL DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17757 US HIGHWAY 19 N # 5E, CLEARWATER, FL 33764-6560
(727) 467-4558
Mailing address
1937 GLEN LAKES CIR N, ST PETERSBURG, FL 33702-2145
(727) 348-1301
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS19381
FL
Other
Enumeration date
08/24/2011
Last updated
07/19/2012
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